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Medical Coding Auditor
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- The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
- The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments.
- Review medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding guidelines specific to Ambulatory Payment Classification (APC) and Hospital Outpatient Facility coding
- Maintain current working knowledge of ICD-10 and CPT coding guidelines, government regulation and protocols
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